HomeMy WebLinkAboutComprehensive Community Service Committee - Agenda - 7/9/2024Hand-Outs for July 9th, 2024 Bayfield County CCS and Regional CCS
Coordination Committee Meetings:
1. Meeting Agenda
2. Approved Minutes from April 9th, 2024 Bayfield County CCS Coordination Committee
Meeting
3. Approved Minutes from April 9th, 2024 Regional CCS Coordination Committee Meeting
4. BCCS Response to Plan & Policy Recommendations – proposed April, 2024
5. Tamarack Health Presentation Handout on ER & BHU process / services
6. Bayfield County CCS Quality Assurance Report
7. Outcome Evaluation Plan
8. Program Evaluation Report
9. Updated CCS Marketing Materials - Brochure and Flyer
Terry Barningham, Director
Joint Meeting of
Ashland County and Bayfield County
Local Comprehensive Community Services (CCS) Coordination Committees
And
Ashland County and Bayfield County Regional
Comprehensive Community Services Coordination Committee
July 9th, 2024 at 12:30 p.m.
An in person and remote meeting will originate from the Oredock Room
at Ashland County Health & Human Services, 630 Sanborn Ave, Ashland, Wisconsin.
Remote participation is available via Zoom with the link sent you via email, link below or by phone
715-312-626-6799 US (Chicago)
https://us06web.zoom.us/j/86246221955?pwd=mIBw9FYWaabFhyqgybbdaPk9VQ22lb.1
Meeting ID: 862 4622 1955 Passcode: 697069
Ashland CCS Committee:
Thomas Mittelstaedt Vacant Vacant
Terry Barningham Pam Stanny Jan Kupczyk
Bad River Tribal Representative
Bayfield CCS Committee:
Tom Croteau Johanna Perkins Vacant
Thomas Mittelstaedt Sandra Notzke
Jamie Vernon
Regional CCS Committee:
Ashland County: Terry Barningham, Pam Stanny, Jan Kupczyk, Vacant, Vacant, Bad River Tribal
Representative
Bayfield County: Tom Croteau, Johanna Perkins, Vacant, Sandra Notzke, Jamie Vernon
Members-At-Large: Teri Ovaska, Thomas Mittelstaedt
Bayfield CCS: Notice is hereby given, in the event the standing committee does not have a quorum, the County Board Chair or
Vice Chair may act as an ex officio member (County ordinance, Chapter 3, section 2-3-1 (c))
Any person wishing to attend whom, because of a disability, requires special accommodations, should contact
the Department of Human Services at 715-373-6144 at least 24 hours before the scheduled meeting time, so
appropriate arrangement cans be made.
ASHLAND COUNTY
HEALTH & HUMAN SERVICES DEPARTMENT
630 Sanborn Avenue ● Ashland, WI 54806 ● (715) 682-7004
Fax: (715) 682-7924 ● E-mail: achsd@co.ashland.wi.us
Agenda
1. Call to Order
2. Roll Call
3. Agenda for Ashland CCS only:
A. Discussion and Possible Action: Review and Approval of the April 9, 2024
Meeting Minutes
B. Discussion and Possible Action: Ashland Comprehensive Community Services
Plan & Policy Updates
4. Agenda for Bayfield CCS only:
A. Discussion and Possible Action: Review and Approval of the April 9, 2024
Meeting Minutes
B. Discussion and Possible Action: Bayfield Comprehensive Community Services
Plan & Policy Updates
5. Agenda for Regional CCS only:
A. Discussion and Possible Action: Review and Approval of the April 9, 2024
Meeting Minutes
6. Presentation: Tom Jensen and Aimee Granger, process for ER visits to BHU stays
and services and support
7. 2024 Annual Program Report
8. Update to the Outcome Evaluation Plan
9. Review Program Report
10. Children’s Services
11. Discussion and Possible Action: New Business
12. Opportunity for Public Comment (Limit 3 minutes please)
13. Other (Informational Items)
a. Updates to brochure and flyer- Julie Winter, Quality Assurance and
Improvement Coordinator
14. Future Meeting Dates (all meeting times 12:30 to 2):
Oct 8, 2024
Jan 14, 2025
C: Ashland County Board Chair, Gary Mertig
Ashland County Administrator, Dan Grady
Ashland County Clerk, Heather Schutte
Bad River Tribal Chairman, Robert Blanchard
Bayfield County DHS, Nina Bucher
Bayfield County DHS, Sarah Traaholt
Bayfield County Clerk, Lynn Divine
Bayfield County Administrator, Mark Abeles-Allison
Bayfield County Board of Supervisors Chair, Dennis Pocernich
Red Cliff Tribal Chair, Nicole Boyd
WI DHS Area Administration, Karlie Pierson
WI Family Ties, Amy Polsin, Jessica Bigboy
Ashland Daily Press
Ashland and Bayfield County Regional
Comprehensive Community Services (CCS) Coordination Committee Meeting
Bayfield County Conference Room A
Hybrid Meeting
April 09, 2024
BCCS Members Present: Thomas Mittelstaedt, Tom Croteau, Cecelia Webb, Sandra Notzke, Jamie
Vernon
Members Excused: Johanna Perkins
Others Present: Sarah Traaholt, De Ana Nelson*, Elizabeth Skulan, Jessica Bigboy*, Billie Keelin, Terry
Barningham*, Pam Stanny, Jan Kupczyk, Val Levno
*Attended virtually
Call to order and Introductions
Mittelstaedt called the meeting to order at 12:30 p.m.
Roll Call
Levno conducted roll call and noted that Ashland County, Bayfield County and Regional CCS Committee
all have a quorum present.
Levno introduced, Jamie Vernon, Red Cliff Representative for Bayfield County to the group. Levno also
introduced Teri Ovaska to the group. Ovaska was hired as Levno’s successor as CCS Administrator.
Discussion and Possible Action: Review and Approval of the January 09, 2024, meeting minutes.
Discussion and Possible Action: Bayfield Comprehensive Community Services Plan & Policy update.
Mittlestaedt and Notzke noted that their contact information needs to be updated.
Discussion and Possible Action: Election of Chairperson.
It was announced the Ceceila Webb is moving out of the area and has provided notice she will no longer
be able to serve on the Bayfield County or regional CCS committees. Mittlestaedt recognized Ceceila
Webb’s contribution to the CCS Committees. The Committee showed appreciation to Webb for her
dedication and wished her well in future endeavors.
Draft: Subject to change
at the next CCS
Coordination Committee
Meeting
Motion by Croteau, second by Notzke, to elect Thomas Mittlestaedt as Bayfield County
Comprehensive Community Chairperson. Motion passed.
Motion by Notzke, second by Webb, to approve Bayfield Comprehensive Community Services Plan &
Policy with the updates on addresses and phone numbers as needed. Motion passed.
Motion by Notzke, second by Croteau, to approve Bayfield Comprehensive Community Services Plan
& Policy update. Motion passed.
Presentation: Providing Psychotherapy, in-home, in-office, telehealth, and equine therapy in CCS –
De Ana Nelson, Beautifully Broken Refuge Ranch
Levno introduced De Anna Nelson, owner of Beautifully Broken Refuge Ranch to the group. Nelson is a
licensed professional counselor that provides an array of services for the CCS program including equine
therapy, art therapy, psychotherapy, in-home, in-office and telehealth services.
Beautifully Broken Refuge Ranch provides a unique aspect to therapy because it is on a farm setting
where nature and animals are used as healing agents. Nelson noted the name Beautifully Broken was
derived from there being beauty in brokenness.
Nelson wants to use her talents to help heal others. Nelson believes that a therapeutic bond between a
participant and therapist is essential to creating a safe place for healing to begin. Nelson noted she also
provides group services and enjoys providing care in a group setting. Groups help participants develop
friendships and facilitate healing when individuals are working together.
Nelson visits Bayfield and Drummond schools each one day a week for therapy. She hopes to
incorporate the Washburn School District into the schedule soon.
Nelson is impressed by CCS and its value to the community around participants. Service Facilitators
provide participants with a team of needed support and services.
CCS Program Response to Committee Recommendations of Plan & Policy Updates
Levno reviewed a letter to the committee accepting their Plan & Policy update recommendations from
the January 2024 meeting.
Review Program Report
Levno noted that the Ashland County referrals have been increasing. Ovaska stated this is not unusual
after a holiday. Bayfield County referrals continue to steadily grow.
Stanny questioned where CCS referrals come from. Ovaska noted that for Ashland County at least 50%
of the referrals are made by the Tamarack Behavioral Health Unit. Levno noted referrals also come from
Wellness and Recovery Courts, the Bad River Tribe, and through self-referrals.
Croteau stated that just over 50% of referrals for Bayfield County come from other Bayfield County
Department of Human Service units or programs including Aging and Disability, Economic Support,
Youth Justice, Child Protective Services, Childrens Long-Term Services, and other Family Service
programs. Croteau noted many referrals for Bayfield County also come from Tamarack Behavioral
Health Unit.
Croteau stated the number of children in the program continues to grow. There are currently fourteen
youth in the program. Croteau noted providing services to children is more time-consuming and is more
difficult during the school year. He reported that it is helpful to have additional vendor support to
relieve some of the pressure off service facilitators to provide services after hours.
Levno noted there are a few staffing changes. Levno is retiring on May 3, 2024. Ovaska was promoted
internally to the position of the new CCS Administrator. Restructuring was necessary when Ashland
County was unable to recruit needed licensed, Masters-level staff to fill Ovaska’s position of Service
Director of ACCS and BCCS. Tom Croteau is taking over as BCCS Service Director. Job responsibilities of
CCS Administrator and ACCS Service Director that do not need a licensed, Masters-level staff were
combined to create the position of Quality Assurance and Improvement Coordinator – Ashland/Bayfield
CCS. The person hired for this new position will be starting April 22nd, 2024. Bayfield is currently
recruiting for a master’s level mental health professional.
Levno reported CCS provider, Christian Servants Home Care, had been able to recruit and retain staff in
a way that other contracted providers have not been able to dur to their unique business model. Levno
noted that Visa Care continues to have trouble hiring staff. Levno reported she excited about Vista
Care’s STAR Program. Using this model, Vista Care’s staff “have a minimum of a bachelor’s degree, are
familiar with risk assessment and mitigation, and are supervised by fully licensed clinicians. Treatment
includes trauma, interpersonal conflict, mood disorders, and grief/loss.”
Levno reported the Ashland County Board has requested the Ashland County CCS team provide more
outreach to the homeless. Ovaska noted staff have been present at Pearson Plaza the past few
Thursdays trying to speak with homeless individuals who are present. Staff can help individuals place
phone calls, provide local resources, and offer referrals to the CCS program when there is interest, and a
referral is appropriate. The Brick is partnering with Ashland County to assist in providing outreach. CCS
will report the impact of their outreach to the Ashland County Board at a future meeting.
Children Services
Ovaska provided a handout listing the services available to children in the CCS program. The handout
provides an overview to parents, guardians, and participants new to the program.
Kupczyk asked if local transportation needs were being met. Levno noted that for medical appointments
CCS participants must use MTM (formerly Veyo). Ovaska noted that BART is a good local transportation
resource. Croteau agreed BART is very accommodating. Levno and Croteau continue to conduct monthly
discussions with the WI DHS and MTM so local issues with the non-emergency medical transportation
provide by MTM are addressed.
Stanny asked if there were still volunteer drivers to provide transportation. Croteau noted that Bayfield
County has veteran volunteer services. Skulan stated that Aging and Disability also has a volunteer driver
program for the elderly and disabled. However post-COVID, the pool is smaller. Levno noted that
Ashland Aging and Disability has something similar. However, individuals who are eligible for
transportation must use MTM when traveling to medical appointments.
Discussion and Possible Action: New Business
Levno asked the group about topics of interest for presentations at future meetings. Stanny requested a
presentation regarding behavioral health inpatient availability and the impacts locally. Croteau noted it
is a timely topic given the reduced inpatient availability with the renovations that are occurring at
Tamarack Behavioral Health Unit. Croteau suggested Tom Jensen from Tamarack as a potential speaker
on this topic. Levno noted that additional suggestions can be sent to Levno (through May 3, 2024),
Ovaska, Croteau, or Service Facilitators.
Kupczyk questioned if she or anyone else should act if they are aware of service providers who are out in
public and they are not working (e.g., on their phones, etc.) when they should be providing services.
Levno noted that she has personally reported this. Levno encouraged “if you see something, say
something”. Levno also noted that CCS participants or their parents or guardians generally voice their
concerns to staff members if a service or provider is not working when with the participant. Levno also
noted that if there are multiple complaints, CCS will discontinue authorizing services with the provider.
Croteau recognized Levno for her many years of service to the county, committee, and region. Levno
thanked the group for their dedication to the committee. Mittelstaedt also thanked Webb for her
service on the committee.
Opportunity for Public Comment
Bigboy stated she appreciated being able to join the meeting today.
Informational Items (other)
Mittelstaedt thanked the staff for making meetings available virtually as well as in person.
Future Meeting Dates
July 9, 2024 – Ashland County 12:30 p.m.
October 8, 2024 – Bayfield County 12:30 p.m.
The meeting was adjourned at 1:28 p.m.
Respectfully submitted, Sarah Traaholt, Bayfield County Clerk III
Ashland and Bayfield County Regional
Comprehensive Community Services (CCS) Coordination Committee Meeting
Bayfield County Conference Room A
Hybrid Meeting
April 09, 2024
Regional CCS Committee:
Ashland County – Terry Barningham*, Pam Stanny, Jan Kupczyk, Billie Keelin
Bayfield County – Tom Croteau, Cecelia Webb*, Sandra Notzke, Jamie Vernon
Members-at-Large Present: Val Levno, Thomas Mittelstaedt
Members Excused: Erica Toman, Johanna Perkins
Others Present: Sarah Traaholt, De Ana Nelson*, Elizabeth Skulan, Jessica Bigboy*
*Attended virtually
Call to order and Introductions
Mittelstaedt called the meeting to order at 12:30 p.m.
Roll Call
Levno conducted roll call and noted that Ashland County, Bayfield County and Regional CCS Committee
all have a quorum present.
Levno introduced, Jamie Vernon, Red Cliff Representative for Bayfield County to the group. Levno also
introduced Teri Ovaska to the group. Ovaska was hired as Levno’s successor as CCS Administrator.
Ashland County:
Discussion and Possible Action: Review and Approval of the January 09, 2024, meeting minutes.
Discussion and Possible Action: Ashland Comprehensive Community Services Plan & Policy update.
Levno reviewed changes and updates with the group. Mittelstaedt noted that his information needs to
be updated.
Bayfield County:
Discussion and Possible Action: Review and Approval of the January 09, 2024, meeting minutes.
Draft: Subject to change
at the next CCS
Coordination Committee
Meeting
Motion by Kupczyk, second by Keelin, to approve the Ashland County CCS January 09, 2024, meeting
minutes as presented. Motion passed.
Motion by Kupczyk, second by Stanny, to approve Ashland Comprehensive Community Services Plan
& Policy update with updates on addresses and phone numbers as needed. Motion passed.
Motion by Notzke, second by Croteau, to approve Bayfield Comprehensive Community Services Plan
& Policy update. Motion passed.
Discussion and Possible Action: Bayfield Comprehensive Community Services Plan & Policy update.
Mittlestaedt and Notzke noted that their contact information needs to be updated.
Discussion and Possible Action: Election of Chairperson.
It was announced the Ceceila Webb is moving out of the area and has provided notice and will no longer
be able to serve on the Bayfield County or regional CCS committees. Mittlestaedt recognized Ceceila
Webb’s contribution to the CCS Committees. The Committee showed appreciation to Webb for her
dedication and wished her well in future endeavors.
Regional Committee:
Discussion and Possible Action: Review and Approval of the January 09, 2024, meeting minutes.
Presentation: Providing Psychotherapy, in-home, in-office, telehealth, and equine therapy in CCS –
De Ana Nelson, Beautifully Broken Refuge Ranch
Levno introduced De Anna Nelson, owner of Beautifully Broken Refuge Ranch to the group. Nelson is a
licensed professional counselor that provides an array of services for the CCS program including equine
therapy, art therapy, psychotherapy, in-home, in-office and telehealth services.
Beautifully Broken Refuge Ranch provides a unique aspect to therapy because it is on a farm setting
where nature and animals are used as healing agents. Nelson noted the name Beautifully Broken was
derived from there being beauty in brokenness.
Nelson wants to use her talents to help heal others. Nelson believes that a therapeutic bond between a
participant and therapist is essential to creating a safe place for healing to begin. Nelson noted she also
provides group services and enjoys providing care in a group setting. Groups can help participants
develop friendships and facilitate healing when individuals are working together.
Nelson visits Bayfield and Drummond schools each one day a week for therapy. She hopes to
incorporate the Washburn School District into the schedule soon.
Nelson is impressed by CCS and its value to the community around participants. Service Facilitators
provide participants with a team of needed support and services.
CCS Program Response to Committee Recommendations of Plan & Policy Updates
Levno reviewed a letter to the committee accepting their Plan & Policy update recommendations from
the January 2024 meeting.
Motion by Notzke, second by Webb, to approve Bayfield Comprehensive Community Services Plan &
Policy with the updates on addresses and phone numbers as needed. Motion passed.
Motion by Kupczyk, second by Keelin, to approve the Regional CCS, January 09, 2024, meeting
minutes as presented. Motion passed.
Motion by Croteau, second by Notzke, to elect Thomas Mittlestaedt as Bayfield County
Comprehensive Community Chairperson. Motion passed.
Review Program Report
Levno noted that the Ashland County referrals have been increasing. Ovaska stated this is not unusual
after a holiday. Bayfield County referrals continue to steadily grow.
Stanny questioned where CCS referrals come from. Ovaska noted that for Ashland County at least 50%
of the referrals are made by the Tamarack Behavioral Health Unit. Levno noted referrals also come from
Wellness and Recovery Courts, the Bad River Tribe, and through self-referrals.
Croteau stated that just over 50% of referrals for Bayfield County come from other Bayfield County
Department of Human Service units or programs including Aging and Disability, Economic Support,
Youth Justice, Child Protective Services, Childrens Long-Term Services, and other Family Service
programs. Croteau noted many referrals for Bayfield County also come from Tamarack Behavioral
Health Unit.
Croteau stated the number of children in the program continues to grow. There are currently fourteen
youth in the program. Croteau noted providing services to children is more time-consuming and is more
difficult during the school year. He reported that it is helpful to have additional vendor support to
relieve some of the pressure off service facilitators to provide services after hours.
Levno noted there are a few staffing changes. Levno is retiring on May 3, 2024. Ovaska was promoted
internally to the position of the new CCS Administrator. Restructuring was necessary when Ashland
County was unable to recruit needed licensed, Masters-level staff to fill Ovaska’s position of Service
Director of ACCS and BCCS. Tom Croteau is taking over as BCCS Service Director. Job responsibilities of
CCS Administrator and ACCS Service Director that do not need a licensed, Masters-level staff were
combined to create the position of Quality Assurance and Improvement Coordinator – Ashland/Bayfield
CCS. The person hired for this new position will be starting April 22nd, 2024. Bayfield is currently
recruiting for a master’s level mental health professional.
Levno reported CCS provider, Christian Servants Home Care, had been able to recruit and retain staff in
a way that other contracted providers have not been able to dur to their unique business model. Levno
noted that Visa Care continues to have trouble hiring staff. Levno reported she excited about Vista
Care’s STAR Program. Using this model, Vista Care’s staff “have a minimum of a bachelor’s degree, are
familiar with risk assessment and mitigation, and are supervised by fully licensed clinicians. Treatment
includes trauma, interpersonal conflict, mood disorders, and grief/loss.”
Levno reported the Ashland County Board has requested the Ashland County CCS team provide more
outreach to the homeless. Ovaska noted staff have been present at Pearson Plaza the past few
Thursdays trying to speak with homeless individuals who are present. Staff can help individuals place
phone calls, provide local resources, and offer referrals to the CCS program when there is interest, and a
referral is appropriate. The Brick is partnering with Ashland County to assist in providing outreach. CCS
will report the impact of their outreach to the Ashland County Board at a future meeting.
Children Services
Ovaska provided a handout listing the services available to children in the CCS program. The handout
provides an overview to parents, guardians, and participants new to the program.
Kupczyk asked if local transportation needs were being met. Levno noted that for medical appointments
CCS participants must use MTM (formerly Veyo). Ovaska noted that BART is a good local transportation
resource. Croteau agreed BART is very accommodating. Levno and Croteau continue to conduct monthly
discussions with the WI DHS and MTM so local issues with the non-emergency medical transportation
provide by MTM are addressed.
Stanny asked if there were still volunteer drivers to provide transportation. Croteau noted that Bayfield
County has veteran volunteer services. Skulan stated that Aging and Disability also has a volunteer driver
program for the elderly and disabled. However post-COVID, the pool is smaller. Levno noted that
Ashland Aging and Disability has something similar. However, individuals who are eligible for
transportation must use MTM when traveling to medical appointments.
Discussion and Possible Action: New Business
Levno asked the group about topics of interest for presentations at future meetings. Stanny requested a
presentation regarding behavioral health inpatient availability and the impacts locally. Croteau noted it
is a timely topic given the reduced inpatient availability with the renovations that are occurring at
Tamarack Behavioral Health Unit. Croteau suggested Tom Jensen from Tamarack as a potential speaker
on this topic. Levno noted that additional suggestions can be sent to Levno (through May 3, 2024),
Ovaska, Croteau, or Service Facilitators.
Kupczyk questioned if she or anyone else should act if they are aware of service providers who are out in
public and they are not working (e.g., on their phones, etc.) when they should be providing services.
Levno noted that she has personally reported this. Levno encouraged “if you see something, say
something”. Levno also noted that CCS participants or their parents or guardians generally voice their
concerns to staff members if a service or provider is not working when with the participant. Levno also
noted that if there are multiple complaints, CCS will discontinue authorizing services with the provider.
Croteau recognized Levno for her many years of service to the county, committee, and region. Levno
thanked the group for their dedication to the committee. Mittelstaedt also thanked Webb for her
service on the committee.
Opportunity for Public Comment
Bigboy stated she appreciated being able to join the meeting today.
Informational Items (other)
Mittelstaedt thanked the staff for making meetings available virtually as well as in person.
Future Meeting Dates
July 9, 2024 – Ashland County 12:30 p.m.
October 8, 2024 – Bayfield County 12:30 p.m.
The meeting was adjourned at 1:28 p.m.
Respectfully submitted, Sarah Traaholt, Bayfield County Clerk
(715) 373-6144 Phone/TDD • (715) 373-6130 FAX • www.bayfieldcounty.org • baycodhs@bayfieldcounty.org
TO: Bayfield County CCS Coordination Committee
FROM: Val Levno
DATE: April 12, 2024
Thank you for your recommendations after reviewing the Bayfield County Comprehensive Community Services
(BCCS) plan and policies updates. We accept your recommendations as made during the April 9, 2024 Bayfield
CCS Coordination Committee meeting. The changes include:
Deleting CCS Service Director as a CCS Shared Service and removing language specific to Service
Director being shared.
Updating Program Staff Roster
Updating administrator who is member-at-large on Regional Coordination Committee Roster
Sincerely,
Valerie Levno, MSEd, LPC
ACCS Administrator
Department of Human Services
117 East Fifth Street
P.O. Box 100
Washburn, WI 54891-0100
Telephone (715) 373-6144 Fax (715) 373-6130
Email: baycodhs@bayfieldcounty.org
Inpatient BH Care – admission through the emergency department
Behavioral Health Admission
o Acute or recurrent behavioral health condition
o Danger to self or others
o Acute symptoms related to their psychiatric condition
o Involuntary (Chapter 51)
o Danger medical condition will worsen without psychiatric admission
Detoxification Admission
o Functionally impaired
o Unable to detox in alternative setting
o Incapacitation due to substances
Incapacitation hold can only be initiated upon admission to BHU and ED cannot
institute a hold
Admission process
o All BH patients must be medically evaluated prior to admission to BHU
o Restriction regarding admissions:
Physical illnesses are more acute than behavioral health conditions
Active medical condition that risks contamination of the entire unit and cannot be
effectively managed in the BH setting
Forensic admissions or sustained law enforcement presence
Known history of aggressive or dangerous behaviors that would compromise the
safety/welfare/treatment of other patients and staff
Primary diagnosis of mental retardation or developmental disability
Outpatient Care – call 715-685-5400 for services
Therapy for children and adults
Medication/psychiatry services for children and adults
Intensive Day Program for adult individuals with mental illness
Psych testing for children and adults
Recovery Services individual counseling for adolescents and adults
Intensive Day Program for adults starting in Recovery Services
Recovery Peer Support covering all requests throughout the organization
Adult sensory modulation with our occupational therapy staff
(715) 373-6144 Phone/TDD • (715) 373-6130 FAX • www.bayfieldcounty.org • baycodhs@bayfieldcounty.org
BAYFIELD COUNTY COMPREHENSIVE COMMUNITY SERVICES
2023 QUALITY ASSURANCE REPORT
Program Description
The Bayfield County CCS program provides individualized treatment in the home and community
for persons of all ages who need ongoing services for a mental illness, substance use disorder, or a
dual diagnosis beyond occasional outpatient care, but less than the intensive care provided in a
Community Support Program or an inpatient setting. There is a focus on person centered planning
and providing the rehabilitative treatment individuals need to live their best lives. The participant
works with a dedicated team of service providers to develop a service plan to meet the individual's
unique needs and goals. The goal of this community-based approach is to promote better overall
health and life satisfaction for the individual. The office is located at 117 E 5th Ave in Washburn,
Wisconsin. Fifty-nine (59) participants were served in 2023. Fourteen (14) participants were
children. There were seventeen admissions and thirteen (13) discharges in 2023.
Staff includes a part-time Administrator, part-time Service Director, full-time CCSS
Supervisor/Mental Health Professional/Substance Use Professional/Psychotherapist and three full-
time Service Facilitators. In addition, the program was supported a Master’s level intern and two
part-time Behavioral Health Case Managers. The Administrator and Service Director are shared staff
with the Ashland Comprehensive Community Services program.
Participants were served by twenty-two (22) Service Array Providers including peer specialists,
parent peer specialists, equine assisted learning specialists and in-home/community skill building
specialists. We contracted with twenty-six (26) people to provide psychotherapy, and three of which
can also provide substance use assessments (ASAM) and four people to provide adult mental health
day treatment.
The individuals served by the program in 2023 have been given the diagnosis of the following
substance use and mental illness disorders. This graph indicates mood disorders are a primary
Bayfield CCS diagnosis. 81% of Bayfield CCS participants had more than one diagnosis.
0 10 20 30 40 50 60
Thought Disorders
Mood Disorders
Substance Use Diagnoses
Other Diagnoses
Number of Diagnoses by Category
Department of Human Services
117 East Fifth Street
P.O. Box 100
Washburn, WI 54891-0100
Telephone (715) 373-6144 Fax (715) 373-6130
Email: baycodhs@bayfieldcounty.org
REPORT ON 2023 PROGRAM GOALS
1. Increase contracted providers of home and community services by 5%. This goal was
met. See below.
o Ask current contracted agencies of home and community services to expand their
work force at minimum 5%. This will be evident by CCS County Oversight
reports. Compare number of CCS providers at the end of 2022 with the number
of CCS providers at the end of 2023.
There was a significant increase in the number of CCS providers in 2023,
by over 20%. The increased providers included psychotherapists, health
and life coach, yoga/CrossFit instructor, certified peer specialist and
home/community skill building providers.
o Attract agencies providing CCS services in other counties to expand to Ashland
CCS and Bayfield CCS. This will be evident by CCS County Oversight reports.
Compare number of CCS vendors at the end of 2022 with the number of CCS
vendors at the end of 2023.
The large increase in CCS providers noted above was due to the large
increase in CCS vendors.
o Encourage current vendors to attend local opportunities to increase the work
force. CCS administrator or designee to attend if appropriate.
Vendors were encouraged to attend two Northland College Job Fairs and a
University of Wisconsin Superior Job Fair.
2. Increase MHSIP Adult mean domain score of “I feel I belong in my community” to 3.5
mean score in Ashland CCS and 3.6 mean score in Bayfield CCS. This will be evident
by increasing contracted providers as indicated above to allow additional skill building
opportunities that are community based and Service Facilitators will identify resilience
in CCS participants and expand on it.
The Bayfield MHSIP Adult mean domain score of “I feel I belong in my
community” in 2023 is 3.7. This goal was met.
3. Increase MHSIP Adult mean domain score of “I do better in social situations” to 3.5
mean score in Ashland CCS and 3.9 mean score in Bayfield CCS. This will be evident
by increasing contracted provider of home and community services as indicated above to
allow additional skill building opportunities. Service Facilitators and CCS contracted
providers to support CCS participants to increase potential areas of social connection
and ways to increase social connection. Increased contracted provider of home and
community services as indicated above to allow additional skill building opportunities.
Psychotherapy will continue to focus on family relationships when appropriate.
The Bayfield MHSIP Adult mean domain score of “I do better in social
situations” is 4.1. This goal was met.
DISCUSSION OF PROGRAM OUTCOMES TARGETED IN THE CCS OUTCOME
EVALUATION PLAN
I. THE TREATMENT/ REHABILITATION PROCESS WILL BE PARTICIPANT
AND/OR GUARDIAN DIRECTED AND CONSIST OF A PARTICIPANT/GUARDIAN/
STAFF PARTNERSHIP
Rationale:
Mental Health Participant and Guardian activists in the national “Recovery” movement point out
that recovery only occurs when Participants believe they can get better and work in partnership
with mental health treatment providers to make it happen. They measure Participant and/or
Guardian satisfaction by the extent to which there is genuine Participant, Guardian and staff
collaboration in the planning and implementation of the treatment process.
CCS makes an effort to establish partnerships with CCS Participant and/or Guardians in the
following ways:
People receive factual information about their illness. This helps people strip away
some of the mythology and stigmatizing baggage connected with a mental illness
diagnosis. It also offers people hope that they can make a good life for themselves
despite their illness. It provides them with tools to begin to identify and track their
symptoms, take ownership over their daily health routine, and design their own plans for
any psychiatric crisis intervention.
Share available treatment options. CCS aims to assist people to select and
individualize the array of supports they need to experience stable health, achieve
education and employment goals, enjoy good relationships with friends and family, and
experience greater personal fulfillment.
Work jointly to develop a Recovery Team and Service Plan. Recovery planning is a
several stage process. It begins with the Service Facilitator formally or informally
meeting with a CCS Participant and/or Guardian and identifying what steps can be taken
in the next six months toward meeting the Participants goal for their life and who they
would like to support them. Participant and/or Guardians are invited to involve their
family members or other allies in this process.
To measure Participant and Guardian participation and ownership of their mental health
treatment Bayfield County CCS program utilizes these indicators:
Participant and/or Guardian participation in formulation of the Service Plan (Target:
100%)
Service Facilitators actively engage CCS Participant and/or Guardians in the formulation of their
Service Plan. Service Facilitators report that fifty-five (55) out of fifty-nine (59) total individuals
participated in the formulation of Service Plans. Of the four (4) participants and/or Guardians
who did not participate in the formulation of service plans, below are the reported reasons for
their lack of participation.
Two (2) were due to non-engagement in the first 30 days
One (1) due to change in placement and new guardian supported not being in the
program.
One (1) participant’s symptoms increased and was transitioned to inpatient status.
Service Plans read and signed by Participant and/or Guardians. (Target: 100%)
Two Participants were discharged before the Service Plan was due. 98% (54 of 55 participants or
guardians) who participated in the formulation of the Service Plans signed the Service Plans.
Informed Consents for Treatment (Target: 100%)
Upon admission to CCS, all Participant and/or Guardians are required to sign a CCS Admission
Agreement and Informed Consent for Treatment, HIPPA Participant Privacy Rights Policy and
given both a written and verbal explanation of Wisconsin’s Client Rights. As part of their annual
service planning process, all CCS Participant and Guardians are also asked to sign an updated
Informed Consent for Treatment and receive another explanation of their Client Rights.
One hundred percent (fifty-nine) of CCS Participants and/or Guardians signed the informed
consents for treatment.
II. PARTICIPANTS WILL RECEIVE APPROPRIATE PSYCHIATRIC CARE
Rationale:
Early treatment increases the chance of a successful recovery.
We measure the number of Participants receiving inpatient psychiatric or substance abuse
care over time:
Percentage of people requiring inpatient psychiatric hospitalization, substance abuse
inpatient hospitalization, residential treatment (15% or less of people in program longer
than 12 months. 35% or less of people in program 1-12 months.)
17% of enrolled BCCS Participants (Ten (10) of fifty-nine (59) total) were hospitalized for
inpatient psychiatric, substance abuse or residential treatment in 2023. Two (2) of those
individuals (20% of all requiring inpatient or residential treatment) were in the CCS program less
than 12 months when they utilized that treatment, and 80% (8 individuals) had been in the
program for more than 12 months when they utilized treatment.
III. QUALITY OF LIFE - PARTICIPANT/GUARDIAN PERSPECTIVE
Completion of a Mental Health Statistical Improvement Program (MHSIP – Adult, Family
and Youth Scales) satisfaction surveys. (Target: 50% return rate from Participants and/or
families and a 51% satisfaction rate)
The satisfaction surveys were given to eligible Participant or Guardians (for participants who
received services for at least the past six months) during the months of October and November
2023 with a letter of explanation and an envelope to return the completed survey confidentially
to the CCS Administrator. For each survey completed, the Participant or Guardian was given a
83%
14%3%
INPATIENT AND RESIDENTIAL TREATMENT ENGAGEMENT
OF CCS PARTICIPANTS
Enrolled participants who were not hospitalized or transitioned to residential treatment in 2023
Participants who were in the CCS program more than 12 months when hospitalized or transitioned to residential treatment
Participants who were in the CCS program less than 12 months when hospitalized or transitioned to residential treatment
$5 gift card to Wal-Mart or Hansen’s IGA. The surveys were hand delivered by Service
Facilitators and Service Facilitators gave several verbal reminders to CCS Participants or
Guardians who had not completed a survey timely.
Twenty-three (23) MHSIP – Adult Scale surveys were returned of twenty-nine (29) surveys
given to eligible Participant or Guardians (79% return rate). Five MHSIP – Youth surveys were
completed / returned, and one of two family surveys were completed. Because of the
confidential nature of the survey, we did not use the returned family survey. The overall mean
for the BCCS MHSIP – Adult Scale was 96% general satisfaction in 2023, compared to the
general satisfaction mean score of the State (92%). The overall mean for the BCCS MHSIP –
Youth Scale was 90% general satisfaction in 2023; a slight decrease from the 92% general
satisfaction score in 2022, but still higher in comparison to the State’s mean general satisfaction
score in 2023, of 86%.
4
3.9
4
4.4
4.4
4.4
4.5
4.1
4
4.2
4.6
4.6
4.6
4.8
4
3.9
4
4.6
4.6
4.6
4.6
0 0.5 1 1.5 2 2.5 3 3.5 4 4.5 5
Perception of Functioning
Perception of Social Connectedness
Perception of Outcomes of Services
Perception of Participation in Treatment Planning
Perception of Quality and Appropriateness
Perception of Access
General Satisfaction
Mean Score
Adult Satisfaction Survey Scores Over Time -BCCS
2022 BCCS Mean Score 2023 BCCS Mean Score 2023 State Mean Score
CCS Participants and Guardians are empowered to actively participate on the
Coordination Committee. No less than one-third of the membership of the Coordination
Committee is CCS Participants or Guardians.
The Bayfield CCS Coordination Committee make-up in 2023 included the following, for a total
membership of seven individuals. 57% of the membership is CCS participants:
Four (4) CCS participants
One Tribal nation employee
One mental health or substance use service provider
One interested citizen
3.9
4.5
4.3
3.8
4.3
4.4
4.3
4.2
4.7
4.6
4.2
4.4
4.7
4.5
4.7
5
4.7
4.5
4.5
4.5
4.6
0 0.5 1 1.5 2 2.5 3 3.5 4 4.5 5
Perception of Functioning
Perception of Social Connectedness
Perception of Outcomes of Services
Perception of Participation in Treatment Planning
Perception of Quality and Appropriateness
Perception of Access
General Satisfaction
Mean Score
Youth Satisfaction Survey Scores Over Time -BCCS
2022 BCCS Mean Score 2023 BCCS Mean Score 2023 State Mean Score
COMPREHENSIVE COMMUNITY SERVICES PLAN
ASHLAND COUNTY AND BAYFIELD COUNTY REGION
OUTCOME EVALUATION PLAN 2024
Aspect of Programming or
Treatment
Indicators Measures of Success Data Source Frequency of
Assessment
CONSUMER/STAFF PARTNERSHIP IN
THE RECOVERY
PROCESS
Participant participation in their own
treatment and rehabilitation process
1. Participation in
formulation of the
Service Plan
2. Informed Consents for
Treatment
1. 100% of consumers
will have progress
notes showing
specific discussion
of their Service
Plan.
2. 100% of the time
1. Service Plan
signature page
2. Review of charts
and documentation
1. 2x/yr. by Service
Directors/Mental
Health Professionals
2. 2x/yr. by Service
Directors/Mental
Health Professionals
HEALTH,
WELLNESS AND
SAFETY
Indicators Measures of Success Data Source Frequency of
Assessment
Program focus will be to
work with participants to
increase completion of
safety plans and ongoing
continued discussion at
reviews around
updating/completing of
safety plans.
1. Percentage of people
presented with an
opportunity to complete a
safety plan as well as having
increased safety plans on file
for participants
2. Service Facilitators will
offer an update to or the
option to complete one if
they did not previously.
1. 100% of CCS participants will be
offered the option to complete a
safety plan and have one on file
with the CSP programs.
Signatures will be obtained from
participants either on a completed
safety plan or blank plan noted
that they did not want to complete
one at this time.
2. 100% of participants will be
asked to update or complete a
safety plan on review months if
they previously declined.
1. CCS clinical chart
documentation
2. Intake, semi-annual
and annual reviews
1. 2x/yr. by Service
Directors/Mental
Health Professionals
2. 2x/yr. by Service
Directors/Mental
Health Professionals
COMPREHENSIVE COMMUNITY SERVICES PLAN
ASHLAND COUNTY AND BAYFIELD COUNTY REGION
OUTCOME EVALUATION PLAN 2024
PROGRAM HONORS
THE CSP
PARTICIPANT
PERSPECTIVE
Indicators Measures of Success Data Source Frequency of Assessment
Quality of Life – Consumer
Perspective
Consumer language, race and
ethnicity is collected to provide
the best individualized care
and non-discriminatory
support to participants within
the community.
1. Completion of State
Satisfaction Survey on
semi-annual review or
annually
2. CCS participants are
empowered to actively
participate on the
Coordination
Committee.
1. Collecting language,
race, and ethnicity
1. Return rate of 50%
from participants. The
majority of scores
given on the
questionnaire fall in the
satisfied arena.
2. No less than one-third
of the membership of
the Coordination
Committee is CCS
participants.
1. 100% of participant
information will be
collected
1. Responses received will
be entered into the
Wisconsin eInsight
website.
2. ACCS Coordination
Committee Roster and
BCCS Coordination
Committee Roster.
1. Echo profile page/QA
Form
1. 1x/yr. by
Administrator/Quality
Assurance and
Improvement
Coordinator
2. 1x/yr. by
Administrator/Quality
Assurance and
Improvement
Coordinator
1. 2x/yr. by Service
Directors/Mental Health
Professionals
Ashland/Bayfield County Comprehensive Community Support
Coordination Committee Program Report
July 2024
Enrollment Information:
Provider Network:
- Christian Servants Home Care – advertising for another part-time skill building position
- VistaCare WI –still looking for another skill building position
- Nature-related skill building
- Rocky Hill- hiring another peer support specialist, Kevin Dahlke came on board and has started to provide
services and supports
- Indigo- looking to hire another peer support specialist and hiring for position as supervisor
Best Practice:
- Nothing at this time
Ashland
February March April
2024 1st
Quarter May
Total 33 35 34 47 30
# of Children 2 1 2 3 2
Intakes 1 2 4 10 5
Discharges 3 4 4 12 6
Referrals Received 5 7 4 13 3
Referrals Closed 0 3 0 1 7
Referrals Pending @
end of month 7 3 8 8 4
Ashland
2024 2023 2022
Total 51 80 94
# of
Children 4 7 7
Intakes 16 37 49
Discharges 21 44 53
Referrals
Closed 21 49 54
Referrals
Pending 1 1 14
Referrals
Received 22 67 108
Bayfield
February March April 2024 1st
Quarter May
Total 47 49 48 51 49
# of Children 13 13 14 12 14
Intakes 1 2 0 3 2
Discharges 0 1 0 4 1
Referrals Received 2 2 2 6 2
Referrals Closed 2 1 1 3 3
Referrals Pending @
end of month 4 3 6 14 7
Bayfield
2024 2023 2022
Total 52 59 65
# of
Children 14 14 12
Intakes 6 17 34
Discharges 3 13 23
Referrals
Closed 13 20 26
Referrals
Pending 7 6 2
Referrals
Received 14 34 41
Staffing:
- BCCS hiring Mental Health Professional/Service Facilitator.
- Brittny White gave notice for her SF position in ACCS
Marketing and Outreach:
o Upcoming –
Ashland Birth Center
Tamarack Health – 50th annual Community Recovery Picnic – early September
Awaiting specifics about Non-Profit Fair in August
o Completed So Far –
Wisconsin Family Ties 6/27/24
Northern Great Lakes Visitor Center / Wildlife Refuge meeting 6/26/24
Planet Youth Community Conversation Meeting 6/6/24
Chequamegon Bay Overdose Awareness Event Meeting 6/5/24
Chequamegon Bay Area Non-Profit Summit 5/30/24
Essentia Health Workforce Development meeting 5/29/24
VRNA / DVR meeting 5/28/24
Ashland County Children’s & Adult Units 5/23
SPARK 5/23
The BRICK 5/21
DOC / Probation & Parole 5/17
Ashland School & Community Event 5/11
Areas of Improvement:
- Continuing to work on Echo and further outreach and updating the brochure and flyer to more participant
friendly terms and QR codes
Are a Bayfield or Ashland County resident
Are enrolled in Wisconsin Medicaid or
BadgerCare Plus
Have a mental health or substance usediagnosis made by a medical doctor
Experience impairments that interfere
with major life activities or goals
Final eligibility will be determined uponintake, using a State Mental Health /Alcohol and Other Drug Abuse FunctionalScreen
You Are
Not
Alone
Your Journey to Mental
Health or Substance Use
Recovery Begins Here
CCS is available to children and adults
who meet the following criteria:
WHO IS ELIGIBLE?
Ashland County
Comprehensive
Community Service
(CCS) Program
630 Sanborn Ave
Ashland, WI 54806
Scan the QR code
boxes with your cell
phone camera for
more information on
our websites or to
start a virtual
referral
Bayfield County
Comprehensive
Community Service
(CCS) Program
117 East 5th St.
Washburn, WI 54891
Phone: 715-682-7004 | Fax: 715-682-7924
ccsintake@ashlandcountywi.gov
COMPREHENSIVE
COMMUNITY SERVICE
PROGRAM (CCS)
Refer yourself
or someone you care
about today!
Scan this QR code with your
phone to complete a virtual
referral, call or email
715-682-7004 | ccsintake@ashlandcountywi.gov
www.bayfieldcounty.wi.gov/1285/Comprehensive-Community-Services
wwww.ashlandcountywi.gov/
health_human_services
https://forms.gle/
9cEj4aQVLWMWfAJL7
https://forms.gle/
9cEj4aQVLWMWfAJL7
A recovery-focused support
program that provides mental
health and substance use services
to people of all ages.
Participants work with a Service
Facilitator and Recovery Team, to
direct services needed to make
progress toward goals they set.
CCS is voluntary - participants must
choose to be in the program
CCS is recovery-focused and respects
the participant’s needs
CCS Provides coordinated behavioral
health and psychosocial rehabilitation
services
Assists individuals use of professional,
community and natural supports to
achieve their personal goals
Creates an individualized recovery
plan - a unique combination of the
participant’s direction and professional
input
Is a community-based program where
most services are provided in the
participant’s home and local
community
WHAT IS CCS?
Refer yourself or someone
you care about today!
Scan the QR code for an
online referral form
715-682-7004
ccsintake@ashlandcountywi.gov
Individual Therapy
Substance Use Counseling
Equine Therapy
Peer Specialist Support
Supportive Family Education
Effective Medication Use Support
Crisis Prevention & Management
Physical Health and Monitoring
Individual Skill Development for:
finding housing, employment, budgeting,
daily living skills like grocery shopping,
completing paperwork, home and
appointment organization, community
engagement, healthy coping skills
(Yoga, Cross Fit, Crafts, etc.)
Each person’s service plan and supports
look different, because needs and goals
are unique to that individual
OUR SERVICES
An important part of CCS is the creation of an
individualized Recovery Team. It includes the
participant, a Service Facilitator, Mental Health
Professional, other professionals such as therapists,
doctors, skill development providers, and any other
individuals such as family or friends that the
participant wishes to include on their team for
advocacy and support.
Support the participant living
successfully in the community by
addressing barriers to access
housing, transportation,
employment, health, social,
recreational, educational
and spiritual resources
CCS VISION
Reduce negative behavioral health
impacts and restore participants to
the best possible level of functioning
and independence
Provide participant-directed, flexible
wraparound services
Participants take control of their lives
and are aided in developing skills
and resources to make this a reality
CCS strives to be culturally relevant
and respectful of a participant’s
unique needs and values
Services provided under CCS areindividually determined through the assessment andservice planning process.
Supports based on clinicial need may include:
https://forms.gle/9cEj4aQVLWMWfAJL7
Scan the QR code to refer
yourself or someone you know
ccsintake@ashlandcountywi.gov
715-682-7004
DO YOU NEED HELP
TO ACHIEVE YOUR
RECOVERY GOALS?
Final eligibility will be
determined through a
functional screen at intake
Open to youth / adult residents
of Ashland and Bayfield Counties
Must be enrolled in Wisconsin
Medicaid or BadgerCare Plus
Have a mental health or
substance use diagnosis made
by a medical doctor
Experience impairments that
interfere or limit major life goals
Examples include:
Individual therapy
Substance Use Counseling
Equine Therapy
Peer Specialist Support
Supportive Family Education
Effective Medication Use Support
Side-by-side Skill Development for:
finding housing, employment, budgeting,
grocery shopping, completing paperwork,
home and appointment organization,
community engagement, healthy
coping skills (Yoga, Cross Fit, Crafts)
Wrap-around
supports are based on
clinical needs
Comprehensive Community Services
(CCS) is a recovery-focused support
program that provides mental health
and substance use services to
people of all ages.
https://forms.gle/9cEj4aQVLWMWfAJL7